Organization
FLORENCE COUNTY COMMISSION ON ALCOHOL AND DRU
Active
Other names
Circle Park Behavioral Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDALL CRAIG COLE (CEO)
(843) 665-9349
Entity
Organization
Contact information
Practice address
601 GREGG AVENUE, FLORENCE, SC 29501
(843) 665-3928
(843) 667-1615
Mailing address
PO BOX 6196, FLORENCE, SC 29502
(843) 665-3929
(843) 667-1615
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
101Y00000X
SC
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AD04FL
—
SC
Enumeration date
09/16/2009
Last updated
11/06/2009
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